Individual
JEFFRY M HOLWEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4128 FORT HENRY DR # D-226, KINGSPORT, TN 37663-2260
(423) 426-2121
Mailing address
4128 FORT HENRY DR # D-226, KINGSPORT, TN 37663-2260
(423) 426-2121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9215
TN
Other
Enumeration date
09/20/2005
Last updated
12/13/2007
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